| NPI | 1346609773 |
|---|---|
| Professional Name | MELISSA R DEZAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 350891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 726454) |
| 164W00000X Licensed Practical Nurse (Licence: NY 3209241) | |
| Enumeration Date | 2016-02-13 |
| Last Update Date | 2023-01-21 |